Organization Active NPI

Solutions Physical Therapy, PLLC

  • Physical Therapist
  • Jonesboro, AR
National Provider Identifier
1831406065
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1729 Issued in AR
Legal business name
SOLUTIONS PHYSICAL THERAPY, PLLC
Practice address
2704 Alexander Dr Ste G
Jonesboro, AR 72401-7079
Phone
(870) 680-2626
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Keith Johnson, PT, MTC, COMTNPI 1972669646
Title
Physical Therapist/Owner
Phone
(870) 680-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 1729 AR Primary

Addresses

Primary practice location

2704 Alexander Dr Ste G
Jonesboro, AR 72401-7079

Mailing address

2301 Morningside Dr
Jonesboro, AR 72404-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000625 AR Part B Supplier - Clinic/Group Practice 3577759240 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

2704 Alexander Dr
Ste G
Jonesboro, AR 72401
Phone (870) 336-0262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1831406065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MORNINGSIDE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 ALEXANDER DR STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017079",
            "telephone_number": "870-680-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "870-680-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MTC, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.